Please print this form or save to disk... 
                                                   Date: _______________
THE POKER STORE			Now Accepting:
11460 Beach Blvd.		MasterCard / Visa
Stanton, CA  90680		American Express / Discover
(714) 895-3783			CASH / CHECK / MONEY ORDERS

Your Name: _________________________________  Phone: ______________
Address: __________________________________________________________
City: ________________________ State: ______________  Zip: ________
Credit Card: _______________________________ Exp Date:_____________
Check one: VISA [ ]     Mastercard [ ]     AMEX [ ]     Discover [ ]
Signature:____________________________________
Amount Enclosed $_______  (check, money order in U.S. funds, please.)
                                          COD's: Cash Only
Questions? Please call: 1-714-895-3783 / FAX: 1-714-895-5323
All orders paid by personal check will be subject to a 10 working day hold.

Fax: 714-895-5323 POKER STORE ORDER FORM - Please Be Specific
Quantity
(each color)		 Color Initial or Denomination
Side ONESide TWO		 Cat #/Style Unit Price Total
       
       
       
       
       
       
       
       
       
       
       
(Use the boxes above to order custom chips, use the boxes below to order other products or supplies.)
Quantity Item No. Description Unit Price Total
     
     
     
     
     
     
(Click here if you'd like to see the price list.)  Subtotal 
California residents add 7.75% sales tax 
TOTAL 
Add Shipping Charge 
GRAND TOTAL 

Merchandise Shipping Charges
PriceChargesPriceCharges
up to $50$13.00$201 to $300$18.00
$51 to $100$15.00$301 & upCall
$101 to $200$16.00Shipping as it costs us
Hawaii & Alaska Residents Call for Shipping Charges

Email: pokerstore@usa.net



Unless you specify otherwise, orders in the Continental U.S. are shipped via U.P.S. ground. Please allow 10-12 days for U.P.S. Delivery, except Alaska & Hawaii. For quicker delivery we can ship next day or 2nd day air. All merchandise is checked before shipment. If damaged, notify carrier as soon as discovered. No merchandise returns accepted without authorization. All Prices F.O.B. as shown in catalog. Price subject to change without notice.

Additional S&H Information: CALL! Roulette Wheels and Tables FOB Factory. Add for crating on Roulette Table. Carnival Wheels FOB Factory. Add $95.00 for shipping and handling.

[Home]